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Healthcare organizations that were previously sitting along the sidelines when it came to healthcare reform are going to have to get the ball rolling now that the Supreme Court has made the ruling to uphold the 2010 healthcare law, according to a report published Friday by the PwC Health Research Institute (HRI).
Approaching and dealing with commercial payers is "very much a game," but by understanding current trends in denials and learning the best practices for documenting and demonstrating medical necessity, managed care organizations can substantially reduce denials for inpatient care.
Led by the Massachusetts Medical Society (MMS), six healthcare organizations launched a major initiative in mid-April to improve the state’s medical liability system.
With so much political rhetoric aimed at the Affordable Care Act these days and many openly hoping the Supreme Court will throw the baby out with the individual mandate bathwater, the law’s strong points very often get drowned out by the static and noise.
Between 2011 and 2021, national health spending is projected to grow at an average rate of 5.7 percent annually, according to projections set forth in a study done by the Centers for Medicare and Medicaid Services' National Health Expenditure Accounts Team and published in the July issue of Health Affairs.
According to a report released Friday by Standard & Poor's Ratings Services, the ratings agency believes there could very likely be a net negative for for-profit hospitals with the full implementation of the Patient Protection and Affordable Care Act.
According to the American Hospital Association's first quarter RACTrac Survey released last month, hospitals continue to report an increase in Medicare recovery audit contractor (RAC) payment denials.
As more patients grapple with high-deductible health plans and self-pay circumstances, it is becoming increasingly difficult for providers to collect payment for services rendered.
The Hospital and Healthsystem Association of Pennsylvania (HAP) released new data last week showing Medicaid payments falling short of costs by $5.28 billion between 2011 and 2015.
With the help of a two-year task force effort with the Foundation for Health Coverage Education (FHCE), Sharp HealthCare in San Diego has saved $5 million from self-pay patient reimbursements at four of their busiest emergency departments.